Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Complex simulation w/pet-ct
Low
$807
Average
$2.7k
Median
$2.2k
High
$8.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 231 | $2.0k | $2.3k | $3.3k | 140% | — | $1 – $57.3k |
| 2 | Aetna fee schedule · outpatient · +11 other terms | 210 | $2.0k | $2.3k | $1.1k | 48% | — | $1 – $7.9k |
| 3 | Humana fee schedule · outpatient · +11 other terms | 183 | $1.9k | $1.9k | $356 | 18% | — | $1 – $4.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +10 other terms | 147 | $4.0k | $4.5k | $2.7k | 60% | — | $0 – $15.0k |
| 5 | Cigna fee schedule · outpatient · +8 other terms | 128 | $2.0k | $3.2k | $2.0k | 64% | — | $1.8k – $7.9k |
| 6 | WellCare fee schedule · outpatient · +7 other terms | 103 | $2.0k | $2.3k | $772 | 34% | — | $1.0k – $4.6k |
| 7 | Molina fee schedule · outpatient · +9 other terms | 76 | $2.1k | $2.5k | $882 | 36% | — | $1 – $4.4k |
| 8 | Anthem fee schedule · outpatient · +9 other terms | 58 | $1.9k | $1.9k | $554 | 29% | — | $240 – $4.1k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 54 | $2.0k | $1.9k | $109 | 6% | — | $1.8k – $2.2k |
| 10 | Kaiser fee schedule · outpatient · +3 other terms | 51 | $2.7k | $3.7k | $2.7k | 73% | — | $1.9k – $15.3k |
| 11 | Ambetter facility · fee schedule · outpatient · +3 other terms | 47 | $3.3k | $3.7k | $915 | 24% | — | $1.8k – $5.0k |
| 12 | Optum fee schedule · outpatient · +3 other terms | 32 | $1.9k | $2.6k | $1.4k | 52% | — | $1.7k – $7.0k |
| 13 | Bcbs Tx fee schedule · outpatient | 31 | $6.9k | $6.9k | $2.9k | 42% | — | $1.8k – $14.2k |
| 14 | Clover fee schedule · outpatient · +3 other terms | 24 | $2.1k | $2.1k | $144 | 7% | — | $1.8k – $2.3k |
| 15 | Caresource facility · case rate · outpatient · +6 other terms | 20 | $490 | $1.2k | $1.3k | 102% | — | $301 – $3.9k |
| 16 | Medicare fee schedule · outpatient · +4 other terms | 18 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Regence facility · fee schedule · outpatient · +1 other terms | 18 | $2.0k | $2.0k | $119 | 6% | — | $1.8k – $2.4k |
| 18 | Highmark fee schedule · outpatient · +2 other terms | 16 | $2.5k | $2.6k | $958 | 37% | — | $557 – $5.6k |
| 19 | Oscar facility · fee schedule · outpatient · +3 other terms | 14 | $2.7k | $2.7k | $360 | 13% | — | $2.2k – $3.6k |
| 20 | Bcbs Nj fee schedule · outpatient | 12 | $2.2k | $4.6k | $3.1k | 67% | — | $2.1k – $9.4k |
| 21 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 12 | $1.9k | $1.9k | $32 | 2% | — | $1.9k – $2.0k |
| 22 | Wellmark case rate · outpatient · +1 other terms | 12 | $1.9k | $1.9k | $67 | 4% | — | $1.8k – $2.1k |
| 23 | Medical Mutual facility · fee schedule · outpatient · +1 other terms | 11 | $1.8k | $2.2k | $461 | 21% | — | $1.8k – $2.9k |
| 24 | Tricare fee schedule · outpatient · +2 other terms | 11 | $1.7k | $1.8k | $152 | 8% | — | $1.7k – $2.3k |
| 25 | Ucare facility · fee schedule · outpatient · +3 other terms | 10 | $2.0k | $2.3k | $693 | 30% | — | $1.9k – $3.9k |
← Hospitals reporting HCPCS G0562 · Snapshot 20261112T124536Z-e251e855